DUSTIN J OTTERBERG PA
NPI 1295773646
Physician Assistant in Hickory, NC

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602(828) 326-3000 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dustin J Otterberg Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN J OTTERBERG PA (NPI 1295773646) is an individual physician assistant in Hickory, North Carolina, licensed in North Carolina (0001-02621) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1295773646
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDUSTIN J OTTERBERGCredential: PA
Location Address810 FAIRGROVE CHURCH RDHickory, NC 28602-9617
Mailing AddressPo Box 643403Cincinnati, OH 45264-0001 · (800) 299-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 4, 2006
Last NPPES UpdateMay 29, 2013
✔ NPI 1295773646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0001-02621
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
810 FAIRGROVE CHURCH RD, Hickory, NC 28602

Other Identifiers 4

Medicare UPINS67096
OtherP00261502Railroad
Medicare PIN2748515H
OtherD8994Medcost

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin J Otterberg Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537137633
PECOS Enrollment IDI20040916001273
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
136 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Specialist/Technologist (Athletic Trainer)
810 FAIRGROVE CHURCH RD, CVMC-CENTER FOR REHABILITATION
HICKORY, NC 28602
Advanced Practice Midwife
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Nurse Practitioner
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Ambulance (Land Transport)
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
General Acute Care Hospital
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Physical Therapist
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Nurse Anesthetist, Certified Registered
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Otterberg's NPI number?

The NPI number for Dustin Otterberg is 1295773646. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Dustin Otterberg located?

Dustin Otterberg practices at 810 Fairgrove Church Rd, Hickory, NC 28602. The listed phone number is (828) 326-3000.

What is Dustin Otterberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dustin Otterberg enrolled in Medicare?

Yes. Dustin Otterberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dustin Otterberg accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Dustin Otterberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dustin Otterberg affiliated with any hospitals?

According to CMS data, Dustin Otterberg is affiliated with Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Dustin Otterberg was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.